04D0465292 CLIA NUMBER - OBSTETRICS-GYNECOLOGY LTD

Laboratory Demographics

CLIA Number: 04D0465292

Facility Name: OBSTETRICS-GYNECOLOGY LTD

Facility Address:
1702 WEST 42ND
PINE BLUFF, AR
ZIP 71603
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Facility Phone Number: 870 535-3443

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841256369

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	04D0465292
LAB Type	Physician Office
Facility Name	OBSTETRICS-GYNECOLOGY LTD
Street	1702 WEST 42ND
City	PINE BLUFF
State	AR
ZIP	71603
Phone	870 535-3443
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024